Provider Demographics
NPI:1396204574
Name:HOPE DENTAL P.C.
Entity Type:Organization
Organization Name:HOPE DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VESNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-517-3474
Mailing Address - Street 1:26 WYCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6122
Mailing Address - Country:US
Mailing Address - Phone:847-722-7615
Mailing Address - Fax:
Practice Address - Street 1:2215 ENTERPRISE DR STE 1504
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5804
Practice Address - Country:US
Practice Address - Phone:708-562-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE DENTAL P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty